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The association with histopathological findings and predictive significance of transforming growth factor beta 1 (TGF β1) in patients with chronic viral hepatitis 转化生长因子β1 (TGF β1)与慢性病毒性肝炎患者组织病理学表现的关系及预测意义
Pub Date : 2023-07-11 DOI: 10.17352/ahr.000035
Bugdaci Mehmet Sait, Karaca Cetin, Koksal Ali Rıza, Boga Salih, Alkim Canan, Sokmen Mehmet
Background: Chronic Viral Hepatitis (CVH) is the most common cause of hepatocellular cancer and cirrhosis related to liver fibrosis. The gold standard in the diagnosis of fibrosis is liver biopsy. TGF β1 is a pleiotropic cytokine that plays a pivotal role in carcinogenesis and fibrosis. The results of studies investigating the relationship between TGF β1 and histopathological findings are controversial. We aimed to investigate the relationship between TGF β1 and histopathological findings. Methods: Patients with Chronic Hepatitis B (CHB) and C (CHC), Non-Alcoholic Steatohepatitis (NASH), inactive HBsAg carriers, patients with cirrhosis and healthy control cases presenting to the Gastroenterology Clinic of Sisli Etfal Training and Research Hospital between 2009-2010 were included in the study. Laboratory tests, HCV RNA, HBV DNA, viral load, and viral markers (such as HBsAg, anti-HCV) were determined. Biopsies were performed on patients with hepatitis B and C, and non-alcoholic steatohepatitis (NASH). Histologic features were defined as Histologic Activity Index (HAI) and fibrosis stage (Knodell’s scoring). TGF β1 was evaluated by the ELISA method. Results: 267 cases including 44 non-alcoholic steatohepatitis cases [27 female (57%)], 38 inactive HBsAg carriers [23 female (60%)], 48 patients with chronic hepatitis B [17 female (35%)], 27 chronic hepatitis C [14 female (60%)], 15 decompensated cirrhosis [3 female (20%)] and 94 healthy control cases were included in the study. Compared with healthy controls, all other subgroups had significantly elevated TGF β1 levels. TGF β1 was found to have a specificity of 93.6% and a sensitivity of 88.9% (AUC: 0.948, 95% CI: 0.916-0.981) in determining liver diseases. TGF β1 had a positive correlation with fibrosis and histological activity index in patients with CHB and CHC. There was a negative correlation between TGF β1 and HBV DNA and HCV RNA. TGF β1 had a significant correlation with LDL and total cholesterol in cases with CHB and CHC. Conclusion: TGF β1 is correlated with both HAI and fibrosis in patients with CHB and CHC. TGF β1 might have a role in the prognostic significance of elevated LDL levels and low viral load in patients with CHC.
背景:慢性病毒性肝炎(CVH)是肝细胞癌和肝硬化相关肝纤维化的最常见原因。肝活检是诊断肝纤维化的金标准。TGF β1是一种多效性细胞因子,在癌变和纤维化中起关键作用。关于TGF β1与组织病理学结果之间关系的研究结果存在争议。我们旨在探讨TGF β1与组织病理结果的关系。方法:选取2009-2010年在西西利训练与研究医院胃肠内科就诊的慢性乙型肝炎(CHB)和丙型肝炎(CHC)患者、非酒精性脂肪性肝炎(NASH)患者、非活性HBsAg携带者、肝硬化患者和健康对照患者。实验室检测、HCV RNA、HBV DNA、病毒载量和病毒标志物(如HBsAg、抗HCV)被确定。对乙肝、丙肝和非酒精性脂肪性肝炎(NASH)患者进行活组织检查。组织学特征定义为组织学活动指数(HAI)和纤维化分期(Knodell’s评分)。ELISA法检测TGF β1。结果:共纳入267例,其中非酒精性脂肪性肝炎44例[女性27例(57%)],HBsAg不活跃携带者38例[女性23例(60%)],慢性乙型肝炎48例[女性17例(35%)],慢性丙型肝炎27例[女性14例(60%)],失代偿性肝硬化15例[女性3例(20%)],健康对照94例。与健康对照组相比,其他亚组TGF β1水平均显著升高。TGF β1检测肝脏疾病的特异性为93.6%,敏感性为88.9% (AUC: 0.948, 95% CI: 0.916-0.981)。TGF β1与CHB、CHC患者的纤维化及组织学活动指数呈正相关。TGF β1与HBV DNA、HCV RNA呈负相关。TGF β1与CHB、CHC患者LDL、总胆固醇有显著相关性。结论:TGF β1与CHB、CHC患者HAI及纤维化均相关。TGF β1可能在CHC患者LDL水平升高和病毒载量降低的预后意义中发挥作用。
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引用次数: 0
Viral hepatitis B in patients with hematological malignancies (Overview) 血液系统恶性肿瘤患者的病毒性乙型肝炎(综述)
Pub Date : 2023-01-30 DOI: 10.17352/ahr.000034
Sidorkevich Sv, Chebotkevich Vn, Kuleshov Av, Kajtandzhan Ei, Bessmel'tsev Ss
The review presents current data on the role of viral hepatitis B in oncohematological patients. Possible ways of infection, prevention of infection, and activation of hepatitis B in this category of patients are considered. The specific features of the course of hepatitis B in various clinical situations are described: against the background of other viral infections and in the conduct of specific anti-leukemia therapy.
这篇综述介绍了目前关于乙型病毒性肝炎在血液肿瘤患者中的作用的数据。考虑了这类患者可能的感染方式、感染预防和乙型肝炎的激活。描述了不同临床情况下乙肝病程的具体特征:在其他病毒感染的背景下,在进行特异性抗白血病治疗的过程中。
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引用次数: 0
Bio-informatics approaches in liver disease: Incomplete without experimental validation 肝脏疾病的生物信息学方法:没有实验验证的不完整
Pub Date : 2022-09-27 DOI: 10.17352/ahr.000033
Gaur Pratibha
In the search for the treatment of hepatic diseases, multiple approaches have been used frequently such as bioinformatics and algorithm-based systems biology for the screening of already published data that leads to the identification of promising drug candidates at molecular levels. These studies provide a large data set of information and claim to identify many genes, which could be targeted for the cure. However, it is important to note that the identified compounds are only predictions and the potential of these suggested molecules or genes should be well confirmed by adopting robust and critical experimental approaches to satisfy all possible aspects to use them safely for therapeutic purposes. Therefore, I put forward the opinion that these predicted markers whether prognostic, diagnostic, or molecular must be evaluated critically through a well-defined experimental pipeline.
在寻找肝脏疾病的治疗方法时,经常使用多种方法,如生物信息学和基于算法的系统生物学,用于筛选已经发表的数据,从而在分子水平上确定有希望的候选药物。这些研究提供了大量的数据信息,并声称确定了许多基因,这些基因可能成为治疗的目标。然而,重要的是要注意,已确定的化合物只是预测,这些建议的分子或基因的潜力应该通过采用稳健和关键的实验方法来充分证实,以满足所有可能的方面,安全地用于治疗目的。因此,我提出的观点是,这些预测的标记,无论是预后,诊断,或分子必须通过一个明确定义的实验管道进行批判性评估。
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引用次数: 0
The dark proteome of rodent hepatitis E virus: Analysis of intrinsically disordered regions 啮齿动物戊型肝炎病毒暗蛋白组:内在无序区分析
Pub Date : 2022-02-18 DOI: 10.17352/ahr.000032
Shafat Zoya, Ahmed E. Anwar, P. Mohammad K., Islam Asimul, Parveen Shama
Hepatitis E virus (HEV) is the causative agent of Hepatitis E infections across the world. Intrinsically disordered protein regions (IDPRs) or Intrinsically Disordered Protein (IDPs) are regions or proteins that are characterized by a lack of definite structure. These regions or proteins play significant roles in a wide range of biological processes, such as cell cycle regulation, control of signaling pathways, etc. IDPRs or IDPs in proteins are associated with the virus’s pathogenicity and infectivity. The occurrence of intrinsic disorder in the proteome of rat HEV remains to be elucidated, which prompted us to explore its dark proteome. In this study, the unstructured/disordered regions of ORF proteins of rat HEV have been examined. We have analyzed the prevalence of intrinsic disorder by using a set of computational predictors. The intrinsic disorder propensity analysis showed that the ORF proteins consisted of a varying fraction of intrinsic disorder. The ORF3 protein was identified with a maximum propensity for intrinsic disorder while the protein ORF6 showed the least propensity for the intrinsic disorder. Further, the analysis revealed ORF6 as highly structured protein (ORDP); ORF1 and ORF4 as moderately disordered proteins (IDPRs); and ORF3 and ORF5 as highly disordered proteins, categorizing them as ordered protein (ORDP), a protein having Intrinsically Disordered Region (IDPR) and Intrinsically Disordered Proteins (IDP) respectively. Such disordered regions may play several important roles in the pathogenesis and replication of viruses. Collectively, this comprehensive study data from our investigation suggested ORF protein’s role in the regulation and pathogenesis of rat herpesvirus.
戊型肝炎病毒(HEV)是全世界戊型肝炎感染的病原体。内在无序蛋白区域(idpr)或内在无序蛋白(IDPs)是指以缺乏明确结构为特征的区域或蛋白质。这些区域或蛋白质在广泛的生物过程中发挥重要作用,如细胞周期调节、信号通路控制等。蛋白质中的idpr或IDPs与病毒的致病性和传染性有关。大鼠HEV蛋白质组内在紊乱的发生尚不清楚,这促使我们对其暗蛋白质组进行探索。在这项研究中,研究了大鼠HEV的ORF蛋白的非结构化/无序区域。我们通过使用一组计算预测器分析了内在障碍的患病率。内在无序倾向分析表明,ORF蛋白由不同比例的内在无序组成。ORF3蛋白具有最大的内在失调倾向,而ORF6蛋白具有最小的内在失调倾向。进一步分析显示ORF6为高结构蛋白(ORDP);ORF1和ORF4为中度紊乱蛋白(idpr);ORF3和ORF5为高度无序蛋白,分别归类为有序蛋白(ORDP)、具有内在无序区(IDPR)和内在无序蛋白(IDP)。这种紊乱区域可能在病毒的发病机制和复制中起着几个重要的作用。总之,我们调查的这些综合研究数据表明,ORF蛋白在大鼠疱疹病毒的调控和发病机制中发挥了作用。
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引用次数: 1
Prevalence of hepatitis B virus infection among persons with hepatitis D virus and diabetes mellitus in Pakistan, 2019-2021 2019-2021年巴基斯坦丁型肝炎病毒和糖尿病患者中乙型肝炎病毒感染的患病率
Pub Date : 2022-02-11 DOI: 10.17352/ahr.000031
R. Ahmad, Mazhar Muhammad Waqar, Saif Saira, Sikandar Mudasara, Mehmood Javaria, Iram Wajeeha, Tahir Hira, Noor Shanzab, Mazhar Fatima
Introduction: The HBV virus has its enveloped protein that surrounds nucleic acid for its protection. Hepatitis B DNA virus belongs to the Hepadnoviridae family and is similar to retroviruses. Globally, HBV infected people approximately 2 billion in the world, about 350 million people were chronic carriers. One million deaths are caused by the HBV virus every year. Each year, 400,000 new cases were reported in Latin America. Among all over the World, Pakistan was considered as one of the largest chronic viral hepatitis infection countries. Methodology: 975 samples were recoded from different districts of south Punjab. The sera of the patient’s sample were examined to analyze the LFTs, HBS serology, HBS ELIZA, anti-HBeAg, AFP, anti- HDV, HBC IgM, and HBV DNA EAL TIME PCR. An anticoagulant sample was used to analyze their prothrombin time, HB level, WBC count, PLT counts, and HBA1C. Data were analyzed by using Microsoft Excel 2019 and SPSS version 14.0. Results: 975 samples were collected from the Multan district of Punjab. Out of which 638(65.43%) patients were detected positive for HBsAg serology, 312(32.84%) were not detected. The HBA1C test values are higher in HBV patients and its normal value is below 6.4%. In 1st group 258 patients out of 638 are HBV PCR DETECTED, bilirubin 2.1+-5.7, ALP 425.1±575.1, AST 119.6±102.6, ALT 62.0±41.6, and albumin 3.5±0.9. in the 2nd group, 149 patients out of 638 are HBV PCR detected, bilirubin 1.4±1.9, ALP 488.1±339.2, AST 143.0±117.4, ALT 78.1±53.4, and albumin 4.4±0.6. Conclusion: The prevalence of HBV in diabetic patients is higher as compared to control diabetic patients. the patients with high serum AFP levels tend to be HBs-Ag-positive, and those who have low AFP levels are associated with cryptogenic cirrhosis. The positive HBc IgM is higher in anti-HDV-negative cases as compared to HDV-positive cases. The value of HBV DNA was higher in anti-HDV-negative cases. The HBsAg correlates with HBV DNA level and it’s a level higher in the IT phase and lowers in the IC phase.
乙型肝炎病毒有包膜蛋白包裹着核酸,起到保护作用。乙型肝炎DNA病毒属于肝病毒科,与逆转录病毒相似。在全球范围内,乙肝病毒感染者约为20亿人,其中约3.5亿人为慢性携带者。每年有100万人死于乙肝病毒。拉丁美洲每年报告40万新病例。在世界范围内,巴基斯坦被认为是最大的慢性病毒性肝炎感染国家之一。方法:对旁遮普省南部不同地区的975个样本进行重新编码。检测患者血清LFTs、HBS血清学、HBS elisa、抗hbeag、AFP、抗HDV、HBC IgM、HBV DNA EAL TIME PCR。使用抗凝血样品分析他们的凝血酶原时间、HB水平、WBC计数、PLT计数和HBA1C。数据分析采用Microsoft Excel 2019和SPSS 14.0。结果:在旁遮普省木尔坦地区采集样本975份。血清HBsAg阳性638例(65.43%),未检出312例(32.84%)。HBV患者HBA1C检测值较高,正常值低于6.4%。第一组638例患者中HBV PCR检出258例,胆红素2.1+-5.7,ALP 425.1±575.1,AST 119.6±102.6,ALT 62.0±41.6,白蛋白3.5±0.9。第二组638例患者中HBV PCR检出149例,胆红素1.4±1.9,ALP 488.1±339.2,AST 143.0±117.4,ALT 78.1±53.4,白蛋白4.4±0.6。结论:糖尿病患者的HBV感染率高于糖尿病对照组。血清AFP水平高的患者倾向于hbs - ag阳性,而AFP水平低的患者与隐源性肝硬化相关。与hdv阳性病例相比,抗hdv阴性病例的HBc IgM阳性较高。HBV DNA值在抗HBV阴性病例中较高。HBsAg与HBV DNA水平相关,it期较高,IC期较低。
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引用次数: 1
Seroprevalence and associated risk factors for Hepatitis B Virus infections among apparently healthy pregnant mothers attending Anc in Rubkona primary health care center in Rubkona County, Unity State, South Sudan
Pub Date : 2021-03-05 DOI: 10.17352/AHR.000029
Michael Pou Machar, Dube Jara
Background: Hepatitis B is an infection caused by the Hepatitis B Virus (HBV), which is enveloped DNA virus that infects the liver, and the common complications are; cirrhosis, liver cancer and rest of organs failure.
背景:乙型肝炎是由乙型肝炎病毒(HBV)引起的一种感染,HBV是一种感染肝脏的包膜DNA病毒,常见的并发症有;肝硬化、肝癌及其他器官衰竭。
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引用次数: 1
Hepatic involvement in COVID 19 infection COVID - 19感染涉及肝脏
Pub Date : 2020-12-12 DOI: 10.17352/ahr.000027
Paul Jayanta
Background: Severe Acute Respiratory Distress Syndrome Coronavirus -2 (SARS -CoV-2) outbreak is a significant public health threat since December 2019. Lung is the most common organ involved by COVID 19 followed by gastrointestinal tract and liver. This review article discusses hepatic involvement and monitoring in this outbreak. Methods: Recently published studies from PubMed, Red Cross, and Copernicus were reviewed to prepare this review article. Conclusions: Hepatic involvement is common in COVID 19 infection and it is the second most common organ involved after lung. Most of the hepatic involvements are mild and self limiting. However close monitoring is required.
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引用次数: 0
Viral Hepatitis in India 印度的病毒性肝炎
Pub Date : 2020-06-20 DOI: 10.17352/ahr.000026
S. Kishanrao
Viral hepatitis is a cause for major health care burden in India and is recently equated as a threat comparable to the “big three” communicable diseases – HIV/AIDS, Malaria, and Tuberculosis. Hepatitis A virus and Hepatitis E virus are predominantly enterically transmitted pathogens and are responsible to cause both sporadic infections and epidemics of acute viral hepatitis. Hepatitis B virus and Hepatitis C virus are predominantly spread via parenteral route and are notorious to cause chronic hepatitis which can lead to grave complications including cirrhosis of liver and hepatocellular carcinoma.
病毒性肝炎是印度主要卫生保健负担的一个原因,最近被视为与“三大”传染病——艾滋病毒/艾滋病、疟疾和结核病——相当的威胁。甲型肝炎病毒和戊型肝炎病毒主要是经肠道传播的病原体,可引起散发感染和急性病毒性肝炎的流行。乙型肝炎病毒和丙型肝炎病毒主要通过肠外途径传播,并以引起慢性肝炎而闻名,慢性肝炎可导致严重的并发症,包括肝硬化和肝细胞癌。
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引用次数: 2
Occult Hepatitis B Virus infection in a cohort of patients with chronic Hepatitis C 慢性丙型肝炎患者隐匿性乙型肝炎病毒感染
Pub Date : 2019-07-26 DOI: 10.17352/AHR.000022
M. Naga, M. Amin, Dina Algendy, AI El Badry, M. Fawzi, AR Foda, S. Esmat, S. Gabal, Dina Sabry, M. Kamal, L. Rashed
Introduction: The prevalence of occult hepatitis B, defi ned by absence of HBsAg and HBV DNA, ranges widely in patients with hepatitis C. This may infl uence the treatment of hepatitis C and the severity of liver disease
隐匿性乙型肝炎的患病率,定义为缺乏HBsAg和HBV DNA,在丙型肝炎患者中范围广泛,这可能影响丙型肝炎的治疗和肝脏疾病的严重程度
{"title":"Occult Hepatitis B Virus infection in a cohort of patients with chronic Hepatitis C","authors":"M. Naga, M. Amin, Dina Algendy, AI El Badry, M. Fawzi, AR Foda, S. Esmat, S. Gabal, Dina Sabry, M. Kamal, L. Rashed","doi":"10.17352/AHR.000022","DOIUrl":"https://doi.org/10.17352/AHR.000022","url":null,"abstract":"Introduction: The prevalence of occult hepatitis B, defi ned by absence of HBsAg and HBV DNA, \u0000ranges widely in patients with hepatitis C. This may infl uence the treatment of hepatitis C and the severity \u0000of liver disease","PeriodicalId":187565,"journal":{"name":"Archives of Hepatitis Research","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125244665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Experience with Hepatitis B Viral load Testing in Jharkhand 贾坎德邦乙型肝炎病毒载量检测的经验
Pub Date : 2019-04-29 DOI: 10.17352/AHR.000021
Sana Irfan, M. Gupta, N. P. Sahu, Zulfiquar Ali Bhuttoo, Poonam Kumari
Quantification of the viral burden is an important laboratory tool in the management of hepatitis B virus (HBV)-infected patients. However, widespread use of assays is still hampered due to the high cost.
在乙型肝炎病毒(HBV)感染患者的管理中,病毒负担的量化是一个重要的实验室工具。然而,由于成本高,测定法的广泛使用仍然受到阻碍。
{"title":"Experience with Hepatitis B Viral load Testing in Jharkhand","authors":"Sana Irfan, M. Gupta, N. P. Sahu, Zulfiquar Ali Bhuttoo, Poonam Kumari","doi":"10.17352/AHR.000021","DOIUrl":"https://doi.org/10.17352/AHR.000021","url":null,"abstract":"Quantification of the viral burden is an important laboratory tool in the management of hepatitis B virus (HBV)-infected patients. However, widespread use of assays is still hampered due to the high cost.","PeriodicalId":187565,"journal":{"name":"Archives of Hepatitis Research","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115309853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
期刊
Archives of Hepatitis Research
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